Laparoscopic loop cystojejunostomy: An alternative to Roux-en-Y cystojejunostomy for pancreatic pseudocyst

J Minim Access Surg. 2021 Apr-Jun;17(2):221-225. doi: 10.4103/jmas.JMAS_73_20.

Abstract

Surgical internal drainage of pancreatic pseudocyst can be done into the stomach, duodenum or jejunum depending on the anatomic relation of pseudocyst with hollow viscera. For cystojejunostomy, a Roux-en-Y loop is preferred over loop cystojejunostomy as former is thought to avoid the reflux of jejunal contents into the cyst cavity. This study presents our experience with laparoscopic loop cystojejunostomy showing loop cystojejunostomy for the pseudocyst of the pancreas can be safely performed laparoscopically with simpler technique with no complications including reflux.

Keywords: Complications of pancreatitis; laparoscopic Roux-en-Y cystojejunostomy; laparoscopic loop cystojejunostomy; pancreatic pseudocyst.